Practical Question Strategy— A 67-Year-Old Man with Cough with Brian Radavansky from MedSchoolTutors | (USMLE Question Dissection)

Intro

In this episode we dissect the following practice question with Dr. Brian Radvansky from MedSchoolTutors. 

Question Stem

A 67-year old man presents to the Emergency Department with a 2-day history of progressively worsening cough. He has a history of poorly-controlled hypertension, 30 pack-year smoking history, well-controlled diabetes, and a STEMI 4 years prior. He complains of mild sharp chest pain while coughing, some shortness of breath while walking around his apartment, and lightheadedness when standing up. Vital signs on arrival are HR 114, BP 100/55, RR 26, T 101.9 ℉, SpO2 86% on 4 L nasal cannula. Physical exam is significant for general ill appearance, decreased breath sounds in the right lower chest, tachypnea, tachycardia, and use of accessory muscles of breathing. His is somewhat alert and oriented only to person and place. ABG shows pH 7.29/pCO2 60/pO2 69. EKG shows Q-waves in the inferior leads.

Which of the following is most likely to improve the patient’s clinical status?

  1. Dobutamine
  2. Furosemide
  3. Doxycycline
  4. Vancomycin and Piperacillin-Tazobactam
  5. Pleurocentesis
  6. Aspirin and Heparin

The full post is not yet published. But you can read more high-yield question breakfowns on the MedSchoolTutors excellent blog. 

InsideTheBoards Study Smarter Series for the USMLE Step 1 and COMLEX Level 1

Check out the ITB Study Smarter Series Podcast channel perfect for your dedicated Step 1 prep time, or you first and second year med school coursework. Go to bit.ly/ITBpodcasts or just click here to check it out on iTunes. 

ITB Audio Qbank and Premium Subscription

Before August 15, 2018 purchase a 6-month or 12-month subscription to the beta version of ITB’s All-Audio Qbank using this link (or going to http://www.insidetheboards.podbean.com and clicking the “Premium Plans” tab) and we’ll double the length of your subscription for free. The preclinical version of our All-Audio Qbank is powered by content from Lecturio and Osmosis. The clinical version is powered by OnlineMedEd. It’s the perfect supplement to UWorld, Pathoma, First Aid, and Sketchy. 

 

Creativity and Medicine: Looking for Artists

We’re looking for med students with some artistic talent, who want to share their work while contributing to their fellow students’ medical education and addressing problems within healthcare and medical education. Whether you like to sketch, draw, paint, have some graphic design experience, etc. and you want to share your work with the world, contact patrick@insidetheboards.com for more info. 

 

Legal Stuff

InsideTheBoards is not affiliated with the NBME, USMLE, COMLEX, NBOME or any professional licensing body. InsideTheBoards fully adheres to the policies on irregular conduct outlined by the aforementioned credentialing bodies. 

Music: “Anaesthetist” off The Mindsweep by Enter Shikari (used with permission).